| NPI | 1376815951 |
|---|---|
| Former Legal Business Name | STROUD COMPOUNDING AND WELLNESS PHARMACY, INC |
| Entity Type | Organization |
| Authorized Contact | JAMES CHIKWANHA Owner 570-476-6936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2012-01-30 |